Obstetrics & gynaecology · UKMLA & AKT
Gestational hypertension
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- New-onset hypertension (BP ≥140/90 mmHg) after 20 weeks gestation
- No proteinuria and no end-organ dysfunction - if either present, diagnosis is pre-eclampsia
- Hypertension before 20 weeks = pre-existing (chronic) hypertension, not gestational
Proteinuria ≥1+ on dipstick or PCR ≥30 mg/mmol = pre-eclampsia, not gestational hypertension. This distinction is tested repeatedly.
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